PAULO AFONSO DE CARVALHO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
6 resultados
Resultados de Busca
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- One - staged reconstruction of bladder exstrophy in male patients: long - term follow-up outcomes(2017) GIRON, Amilcar Martins; MELLO, Marcos Figueiredo; CARVALHO, Paulo Afonso; MOSCARDI, Paulo Renato Marcelo; LOPES, Roberto Iglesias; SROUGI, MiguelIntroduction: The surgical correction of bladder exstrophy remains challenging. In our institution, the repair has evolved from a staged repair to one-stage reconstruction. The one-stage reconstruction includes; bladder closure, Cantwell-Ransley neourethroplasty and abdominoplasty using groin flaps, without the need of pelvic ostheotomies. Repair of urinary continence (UC) and vesicoureteral reflux (VUR) is done after development of the infant. Objective: To present our experience of our modified one-stage reconstruction of bladder exstrophy in male patients. Materials and Methods: Medical records of male patients submitted to one-stage reconstruction of bladder exstrophy were analyzed retrospectively. Fifteen exstrophy bladder patients with mean age 4.2 +/- 7 years were treated at our institution between 1999-2013. Results: Eleven patients were referred to us after previous surgery. Sixteen procedures were performed; one patient had complete wound dehiscence and needed another reconstruction (6.7%). Mean follow up was 10.3 +/- 4.5 years. No patient has had a loss of renal function. Postoperative complications: four patients (26.6%) presented small fistulas, one presented penile rotation. Eleven patients (73.3%) patients underwent bladder-neck surgery. Five (33.3%) required bladder augmentation. Three cases (20%) needed subsequent treatment of VUR. At the time of our review nine (60%) patients achieved UC, two (13.3 %) patient without additional procedure. A mean of 3 +/- 1.1 procedures (2-5) was accomplished per children. Conclusions: One-stage reconstruction minimizes the number of surgical procedures required to achieve UC and potentiates bladder-neck function. The advantages of using groin flaps over current techniques for complete repair are the small risk for penile tissue loss and the avoidance of ostheotomies.
conferenceObject ONCOLOGICAL OUTCOMES OF POSITIVE SURGICAL MARGINS IN PATIENTS WHO UNDERWENT PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA.(2017) NONEMACHER, Henrique; CORDEIRO, Mauricio; ALBUQUERQUE, George Lins de; BRUNHARA, Joao; CARVALHO, Paulo Afonso; GALLUCCI, Fabio; BORGES, Leornardo; COELHO, Rafael; PATEL, Vipul; NAHAS, WillianconferenceObject NEPHROMETRY SCORES ARE USELESS FOR EXPERIENCED UROLOGISTS IN CLINICAL PRACTICE(2017) NONEMACHER, Henrique; GUGLIELMETTI, Giuliano; ALBUQUERQUE, George Lins de; COELHO, Rafael; CORDEIRO, Mauricio; FAZOLI, Arnaldo; CARVALHO, Paulo Afonso; FREIRE, Tiago Magalhaes; HAYEK, Kayann Kaled R. el; PAGOTTO, Vitor; ALBUQUERQUE, George Lins de; ROCHA, Bruno Aragao; RODRIGUES, Diego Parga; KANAS, Alexandre Fligelman; VIANA, Publio Cesar Cavalcanti; NAHAS, WillianconferenceObject CAN WE IMPROVE PROGNOSTIC DISCRIMINATION FOR PATIENTS WITH PT3A STAGE RENAL TUMORS?(2018) CAVALCANTE, Alexandre; CORDEIRO, Mauricio; GALLUCCI, Fabio P.; NONEMACHER, Henrique; CARVALHO, Paulo Afonso; NAHAS, WilliamconferenceObject ONCOLOGICAL OUTCOMES IN UNCLASSIFIED RENAL CELL CARCINOMA(2021) SAWCZYN, Guilherme; RODRIGUES, Gilberto; PEREIRA, Maykon; CARDILLI, Leonardo; CARVALHO, Paulo Afonso; GALLUCCI, Fabio; SARKIS, Alvaro; NAHAS, William; CORDEIRO, MauricioconferenceObject RENAL CELL CARCINOMA WITH PERIRENAL FAT INVASION: IS PARTIAL NEPHRECTOMY AS GOOD AS RADICAL SURGERY?(2017) GALLUCCI, Fabio; CORDEIRO, Mauricio; BARBOSA, Joao; CARVALHO, Paulo Afonso; NONEMACHER, Henrique; ILARIO, Eder; FAZOLI, Arnaldo; ABE, Daniel; CASSAO, Valter; MATTEDI, Romulo; NAHAS, William